Individual provider Active NPI

Jennifer Kaplan, LCSW-R

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1912918954
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051791-1 Issued in NY
Practice address
12 Jefferson Blvd
Staten Island, NY 10312-3300
Phone
(718) 966-0317
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R051791-1 NY Primary

Addresses

Primary practice location

12 Jefferson Blvd
Staten Island, NY 10312-3300

Mailing address

12 Jefferson Blvd
Staten Island, NY 10312-3300
Phone (718) 966-0317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125001485 NY Practitioner - Clinical Social Worker 2668805052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R051791-1NYMDClinical Social Worker
051791NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reid LLC Clinical CurrentSince Nov 1, 2019 Accepting new patients

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
New York, NY 10003
Phone (917) 902-4248

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1912918954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JEFFERSON BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123300",
            "telephone_number": "718-966-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JEFFERSON BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123300",
            "telephone_number": "718-966-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JENNIFER",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.